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Member Information

New Jersey Senior Medical Group (NJ SMG) is a network of independent community physicians who share a vision of improving the health and well-being of patients.  A large network of contracted Primary Care Physicians (PCPs) and Specialists work together to provide total medical services.

Choosing the right Medical Group and Primary Care Physician (PCP) for your care is very important.  Your PCP is your primary doctor who will manage most of your care and will be who you see for your annual check-up and any routine care needed.  If specialty care, lab tests or other services are needed, your PCP will coordinate with NJ SMG’s contracted network of specialist physicians, facilities and other healthcare providers for these services.

When needed, fast referrals support both patients and physician offices.  For easy member access, many services are available through Direct Referrals. 

If an authorization is needed, your PCP office will send a request to NJ SMG’s Utilization Management Department for approval.  A quick and easy authorization process helps 60% of authorizations to be auto approved, an urgent authorization to be completed within 2 hours and 90% of standard authorizations to be completed within 48 hours.

If you have a question about a referral or need to inquire on the status of an authorization request, you can contact your PCP office or call NJ SMG’s Customer Service department at (855) 309-2025 or (201) 944-6213

A Multilingual Customer Service Department is staffed by a knowledgeable and experienced team who help members receive a rapid resolution when calling with minimal hold time.